Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $85.36 / $115.15	Facility		$80.29	$85.36	$115.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $93.25 / $113.99	Professional		$82.22	$93.25	$113.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $103.87 / $130.13	Professional		$92.03	$103.87	$130.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $101.76 / $101.76	Facility		$101.76	$101.76	$101.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $76.04 / $76.04	Facility		$76.04	$76.04	$76.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $125.11 / $170.00	Professional		$104.26	$125.11	$170.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.86 / $588.88 / $642.87	Facility		$282.86	$588.88	$642.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.17 / $753.17 / $775.98	Professional		$753.17	$753.17	$775.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.59 / $126.36 / $164.66	Facility		$94.59	$126.36	$164.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $101.87 / $176.90	Professional		$89.55	$101.87	$176.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $118.16 / $179.06	Facility		$45.00	$118.16	$179.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $129.19 / $175.30	Professional		$89.55	$129.19	$175.30
United Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $96.47 / $131.65	Professional		$80.06	$96.47	$131.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $107.39 / $170.59	Professional		$107.39	$107.39	$170.59